NUR 239 Exam 4 Questions With Correct
Answers
What |does |a |Transient |Ischemic |attack |warn |of? |- |CORRECT |ANSWER✔✔-impending |stroke:
|"brain |angina"
Levadopa |action |- |CORRECT |ANSWER✔✔-precursor |to |dopamine, |converted |in |brain |and |
peripheral |tissue |to |dopamine
Levadopa |contraindications |- |CORRECT |ANSWER✔✔-glaucoma, |caution |with |heart, |renal, |liver,
|endocrine |diseases, |MAO |inhibitors |(depression |med)
Adverse |Effects |of |Levodopa |- |CORRECT |ANSWER✔✔-anorexia, |nausea |& |vomiting, |liver |
toxicity, |orthostatic |hypotension, |tachycardia, |Headache, |anxiety, |restlessness, |agitation, |
depression, |psychosis, |suicidal, |dyskinesia
Nursing |Implications |of |Levodopa |- |CORRECT |ANSWER✔✔-•Takes |6-8 |weeks |to |be |effective
•Do |not |take |with |oral |iron |supplements |or |Vit. |B6
•Do |not |eat |high |protein |meals |at |time |take |med
•Take |with |a |meal |or |after |to |reduce |nausea
Action |of |carbidopa |- |CORRECT |ANSWER✔✔-•blocks |peripheral |biotransformation |in |liver |and |
periphery |(carboxylation) |of |levodopa |so |more |reaches |brain
Use |of |carbidopa |- |CORRECT |ANSWER✔✔-•given |with |levodopa |to |decrease |dosage |needed
Nursing |Implications |of |carbidopa |- |CORRECT |ANSWER✔✔-•Sinemet |is |combination |levodopa |
& |carbidopa
, •CR |form- |do |not |crush
•Taken |up |to |6 |X/day |(half |life |1-3 |hours)
•Caution |drowsiness, |dizziness
•After |5 |years |decreased |therapeutic |effects
Action |of |benztropine |mesylate |(Cogentin) |- |CORRECT |ANSWER✔✔-•restores |balance |of |
dopamine |and |cholinergic |levels |in |brain
Adverse |Effects |of |Benztropine |mesylate |- |CORRECT |ANSWER✔✔-•sedation, |CNS, |cardiac, |dry |
mouth, |constipation, |urinary |retention
•avoid |extreme |environmental |temperatures
•effectiveness |lessens |over |time; |so |if |increase |dose |= |increased |adverse |effects
Action |of |aspirin |- |CORRECT |ANSWER✔✔-inhibits |COX- |enzyme |in |thromboxane
Nursing |Implications |of |aspirin |- |CORRECT |ANSWER✔✔-patients |who |have |asthma, |allergies, |
and |nasal |polyps |or |who |are |allergic |to |tartrazine |are |at |an |increased |risk |for |developing |
hypersensitivity |reactions
Contraindications |of |aspirin |- |CORRECT |ANSWER✔✔-Hypersensitivity, |recent |bleeding, |cross-
sensitivity |with |other |NSAID
Patient |teaching |aspirin |- |CORRECT |ANSWER✔✔-take |with |a |full |glass |of |water |and |remain |in |
an |upright |position |with |15-30 |minutes |after |administration
report |tenitis
Action |of |Clopidogrel |(Plavix) |- |CORRECT |ANSWER✔✔-inhibits |platelet |aggregation |by |
irreversibly |inhibiting |the |binding |of |ATP |to |platelet |receptors
Answers
What |does |a |Transient |Ischemic |attack |warn |of? |- |CORRECT |ANSWER✔✔-impending |stroke:
|"brain |angina"
Levadopa |action |- |CORRECT |ANSWER✔✔-precursor |to |dopamine, |converted |in |brain |and |
peripheral |tissue |to |dopamine
Levadopa |contraindications |- |CORRECT |ANSWER✔✔-glaucoma, |caution |with |heart, |renal, |liver,
|endocrine |diseases, |MAO |inhibitors |(depression |med)
Adverse |Effects |of |Levodopa |- |CORRECT |ANSWER✔✔-anorexia, |nausea |& |vomiting, |liver |
toxicity, |orthostatic |hypotension, |tachycardia, |Headache, |anxiety, |restlessness, |agitation, |
depression, |psychosis, |suicidal, |dyskinesia
Nursing |Implications |of |Levodopa |- |CORRECT |ANSWER✔✔-•Takes |6-8 |weeks |to |be |effective
•Do |not |take |with |oral |iron |supplements |or |Vit. |B6
•Do |not |eat |high |protein |meals |at |time |take |med
•Take |with |a |meal |or |after |to |reduce |nausea
Action |of |carbidopa |- |CORRECT |ANSWER✔✔-•blocks |peripheral |biotransformation |in |liver |and |
periphery |(carboxylation) |of |levodopa |so |more |reaches |brain
Use |of |carbidopa |- |CORRECT |ANSWER✔✔-•given |with |levodopa |to |decrease |dosage |needed
Nursing |Implications |of |carbidopa |- |CORRECT |ANSWER✔✔-•Sinemet |is |combination |levodopa |
& |carbidopa
, •CR |form- |do |not |crush
•Taken |up |to |6 |X/day |(half |life |1-3 |hours)
•Caution |drowsiness, |dizziness
•After |5 |years |decreased |therapeutic |effects
Action |of |benztropine |mesylate |(Cogentin) |- |CORRECT |ANSWER✔✔-•restores |balance |of |
dopamine |and |cholinergic |levels |in |brain
Adverse |Effects |of |Benztropine |mesylate |- |CORRECT |ANSWER✔✔-•sedation, |CNS, |cardiac, |dry |
mouth, |constipation, |urinary |retention
•avoid |extreme |environmental |temperatures
•effectiveness |lessens |over |time; |so |if |increase |dose |= |increased |adverse |effects
Action |of |aspirin |- |CORRECT |ANSWER✔✔-inhibits |COX- |enzyme |in |thromboxane
Nursing |Implications |of |aspirin |- |CORRECT |ANSWER✔✔-patients |who |have |asthma, |allergies, |
and |nasal |polyps |or |who |are |allergic |to |tartrazine |are |at |an |increased |risk |for |developing |
hypersensitivity |reactions
Contraindications |of |aspirin |- |CORRECT |ANSWER✔✔-Hypersensitivity, |recent |bleeding, |cross-
sensitivity |with |other |NSAID
Patient |teaching |aspirin |- |CORRECT |ANSWER✔✔-take |with |a |full |glass |of |water |and |remain |in |
an |upright |position |with |15-30 |minutes |after |administration
report |tenitis
Action |of |Clopidogrel |(Plavix) |- |CORRECT |ANSWER✔✔-inhibits |platelet |aggregation |by |
irreversibly |inhibiting |the |binding |of |ATP |to |platelet |receptors
